Cortisol-to-DHEAS awakening response ratio in people with dementia and family caregivers: Associations with age, dementia severity and agitation

Although average ratio did not differ between PWD and caregivers, it increased more steeply with age at higher dementia severity and agitation. These findings highlight the cortisol-to-DHEA(S) awakening response ratio as a non-invasive and clinically relevant biomarker reflecting symptom-linked neuroendocrine heterogeneity in dementia.

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Publication Details

Journal
Comprehensive Psychoneuroendocrinology
Published
2025-12-20
DOI
https://doi.org/10.1016/j.cpnec.2025.100334
Primary Topic
Stress Responses and Cortisol
Type
article
Field-Weighted Citation Impact
0.00
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article

Cortisol-to-DHEAS awakening response ratio in people with dementia and family caregivers: Associations with age, dementia severity and agitation

Gabriella Engström, Wanrui Wei, Töres Theorell, Azita Emami
Comprehensive Psychoneuroendocrinology
Stress Responses and Cortisol
article

Cortisol-to-DHEAS awakening response ratio in people with dementia and family caregivers: Associations with age, dementia severity and agitation

Gabriella Engström, Wanrui Wei, Töres Theorell, Azita Emami
article en

Abstract

Although average ratio did not differ between PWD and caregivers, it increased more steeply with age at higher dementia severity and agitation. These findings highlight the cortisol-to-DHEA(S) awakening response ratio as a non-invasive and clinically relevant biomarker reflecting symptom-linked neuroendocrine heterogeneity in dementia.

Comprehensive PsychoneuroendocrinologyVol. 25
Dalarna University (SE), Stockholm University (SE), Karolinska Institutet (SE), Yale University (US)
Openalex Percentile: Top 56%
Stress Responses and Cortisol
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Cortisol-to-DHEAS awakening response ratio in people with dementia and family caregivers: Associations with age, dementia severity and agitation — Gabriella Engström, Wanrui Wei, et al. · Comprehensive Psychoneuroendocrinology (2025) | TGRS Research Map | TGRS